San Diego Medicare Options

San Diego Medicare Options With so many choices and confusion about Medicare, I created a FREE service for San Diego County Res

Can my employer pay for my Medicare premiums?A: No they should not pay your bill directly. It’s best to pay your own pre...
02/28/2022

Can my employer pay for my Medicare premiums?
A: No they should not pay your bill directly. It’s best to pay your own premiums and your employer can raise your salary to offset the cost of your benefits.

Turning 65 soon? Confused about your Medicare options? Let us educate you on the choices available. Contact us today to ...
02/25/2022

Turning 65 soon? Confused about your Medicare options? Let us educate you on the choices available. Contact us today to request a consultation.

A Medicare Medical Savings Account (MSA) Plan combines a high deductible Medicare Advantage Plan and a bank account. The...
02/24/2022

A Medicare Medical Savings Account (MSA) Plan combines a high deductible Medicare Advantage Plan and a bank account. The plan deposits money from Medicare into the account. You can use the money in this account to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount so you generally will have to pay out-of-pocket before your coverage begins.

A Medicare-certified provider is a health care provider (like a home health agency, hospital, nursing home, or dialysis ...
02/23/2022

A Medicare-certified provider is a health care provider (like a home health agency, hospital, nursing home, or dialysis facility) that's been approved by Medicare. Providers are approved or "certified" by Medicare if they've passed an inspection conducted by a state government agency. Medicare only covers care given by providers who are certified.

Fast Fact: Medicaid is a joint federal and state program that helps with medical costs for some people with limited inco...
02/22/2022

Fast Fact: Medicaid is a joint federal and state program that helps with medical costs for some people with limited income and resources. Medicaid programs vary from state to state, but most health care costs are covered if you qualify for both Medicare and Medicaid.

Medicare Quick Tip: Part A covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some h...
02/21/2022

Medicare Quick Tip: Part A covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care.

An Out-of-pocket maximum/limit is the most you have to pay for covered services in a plan year. After you spend this amo...
02/18/2022

An Out-of-pocket maximum/limit is the most you have to pay for covered services in a plan year. After you spend this amount on deductibles, copayments, and coinsurance for in-network care and services, your health plan pays 100% of the costs of covered benefits.

Getting “Prior Authorization” means getting approval from a health plan that may be required before you get a service or...
02/16/2022

Getting “Prior Authorization” means getting approval from a health plan that may be required before you get a service or fill a prescription in order for the service or prescription to be covered by your plan.

“Coordination of Benefits” is a way to figure out who pays first when 2 or more health insurance plans are responsible f...
02/15/2022

“Coordination of Benefits” is a way to figure out who pays first when 2 or more health insurance plans are responsible for paying the same medical claim.

An In-network Copayment is a fixed amount (for example, $15) you pay for covered health care services to providers who c...
02/14/2022

An In-network Copayment is a fixed amount (for example, $15) you pay for covered health care services to providers who contract with your health insurance or plan. In-network copayments usually are less than out-of-network copayments.

Medicare Part A Fast Fact: If you’ve worked 10 plus years (40 quarters) in the U.S., you have already paid for Part A vi...
02/11/2022

Medicare Part A Fast Fact: If you’ve worked 10 plus years (40 quarters) in the U.S., you have already paid for Part A via payroll taxes. If you have not paid payroll taxes in the U.S. for 10 plus years, you will pay the Part A premium.

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